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differential causes hypokalemia hyponatremia workup phosphate treatment alkalosis chloride framework gitelman hypernatremia hypotonic low metabolic pathophysiology phosphorus physiologic potassium rhabdomyolysis
Hypophosphatemia - Differential Diagnosis Algorithm • Decreased intake/absorption: Starvation, Alcoholism, Malabsorption, Phosphate binder use • Redistribution/
Hypophosphatemia ... - Differential Diagnosis ... Redistribution/ Shift ... ), Hungry bone syndrome ... #nephrology #phosphate
Workup for Hypophosphatemia - Differential Diagnosis Framework Rule out spurious hypophosphatemia: paraproteinemia, acute leukemia Measure Urine Fractional Excretion
- Differential Diagnosis ... leukemia Measure Urine ... Transcellular Shift ... #Differential #Diagnosis ... Workup #phosphate #nephrology
Hypophosphatemia - Differential Diagnosis Algorithm Appropriately Low Kidney Phosphate Excretion: • Decreased GI Absorption: Chronic Diarrhea, Antacids,
Hypophosphatemia ... - Differential Diagnosis ... Algorithm Appropriately ... Transcellular Shift ... #Algorithm #nephrology
Volume Based Approach to Hyponatremia Hypovolemic, Serum uric acid >4 • Urine Na <20: Extra-renal losses •
uric acid >4 • Urine ... Cirrhosis, Nephrotic syndrome ... #Hyponatremia #algorithm ... #diagnosis #sodium ... #low #nephrology
Algorithm for patients with hypokalemia on the basis of the potassium-to-creatinine ratio in the urine Urine K+
Algorithm for patients ... creatinine) • Cell shift ... , Gitelman syndrome ... #differential #algorithm ... #diagnosis #nephrology
Hypernatremia - Differential Diagnosis Workup Algorithm 1) Check Urine Osmolality: > 600 mOsm/kg - Implies extrarenal mechanism
- Differential Diagnosis ... Workup Algorithm ... 1) Check Urine ... , Cushing syndrome ... #nephrology #sodium
Metabolic Alkalosis - Urinary Chloride Algorithm Cl- responsive metabolic alkalosis • Kidney loss of Cl-
Urinary Chloride Algorithm ... , Gitelman syndrome ... sodium is typically ... #Algorithm #nephrology ... #differential #diagnosis
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary Causes of Rhabdomyolysis: • Trauma: - Immobilization - Crush injury - Compartment
- Differential Diagnosis ... Framework and Management ... Hyperkalemia • Hyperphosphatemia ... Shift of extracellular ... #treatment #nephrology
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
normal volume-based algorithm ... Urine Na+K / serum ... Cirrhosis, Nephrotic syndrome ... #differential #diagnosis ... #nephrology
Causes of Hypokalemia - Differential Diagnosis Algorithm Decreased intake (rare cause in isolation) GI loss - Urine loss
- Differential Diagnosis ... Algorithm Decreased ... isolation) GI loss - Urine ... Transcellular shift ... #Hypokalemia #Nephrology
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